Provider Demographics
NPI:1740455187
Name:DIGIUSEPPE, DONNA M
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:M
Last Name:DIGIUSEPPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 STUART ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-4005
Mailing Address - Country:US
Mailing Address - Phone:518-355-3588
Mailing Address - Fax:
Practice Address - Street 1:1820 STUART ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-4005
Practice Address - Country:US
Practice Address - Phone:518-355-3588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY21CR12843871744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management